[Renal angiomyolipoma rupture as a cause of lumbar pain: report of one case].
Renal angiomyolipoma is a benign tumor formed by smooth muscle, adipose tissue and blood vessels. It is commonly found incidentally and its clinical manifestations are pain and abdominal mass or spontaneous tumor rupture with retroperitoneal bleeding. The clinical presentation of a hemorrhagic shock secondary to a retroperitoneal hematoma is uncommon. We report a 40 year-old male who presented to the emergency room with lumbar pain and deterioration of hemodynamic parameters. The CT scan showed a left renal injury associated to an expansive retroperitoneal process. The abdominal exploration, vascular control of the renal pedicle and nephrectomy allowed a successful outcome.
Cifuentes
Melissa
M
Unidad de Emergencia Adultos, Hospital Carlos Van Buren, Valparaíso, Chile. melissacifuentes@urogine.cl
Calleja
Félix
F
Hola
José
J
Daviú
Antonio
A
Jara
Danilo
D
Vallejos
Humberto
H
D000328:Adult; D018207:Angiomyolipoma / Q000150:complications* / Q000175:diagnosis; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000175:diagnosis; D017116:Low Back Pain / Q000209:etiology*; D008297:Male; D012187:Retroperitoneal Space; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed